| Dr Peter Frederick Banitt, MD | |
|
11000 Sw Stratus St Ste 305, Beaverton, OR 97008-7113 | |
| (503) 692-0405 | |
| (503) 692-7978 |
| Full Name | Dr Peter Frederick Banitt |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 37 Years |
| Location | 11000 Sw Stratus St Ste 305, Beaverton, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831194737 | NPI | - | NPPES |
| 1092913 | Medicaid | WA | |
| 139455 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD21525 (Oregon) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | MD21525 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Legacy Silverton Medical Center | Silverton, OR | Hospital |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Oregon Clinic, Pc | 2860390408 | 346 |
| Legacy Meridian Park Hospital | 5092609842 | 113 |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | The Oregon Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
| Entity Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Entity Name | Legacy Meridian Park Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Frederick Banitt, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801 | Dr Peter Frederick Banitt, MD 11000 Sw Stratus St Ste 305, Beaverton, OR 97008-7113 Ph: (503) 692-0405 |
Cameron Miles Long, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11000 Sw Stratus St Ste 310, Beaverton, OR 97008 Phone: 503-297-3778 Fax: 503-297-7853 | |
Amanda Andersen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-813-2000 | |
Mrs. Sarah Elizabeth Dunham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 Sw 105th Ave Ste 206, Beaverton, OR 97008 Phone: 503-430-1777 Fax: 503-372-5119 | |
Dr. Naga Praneeth Raja, M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 Sw Greystone Ct, Beaverton, OR 97006 Phone: 971-262-9000 Fax: 971-262-9010 | |
Chad T Pfefer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 Nw Amberglen Pkwy, Ste 150, Beaverton, OR 97006 Phone: 971-327-4356 Fax: 971-327-4355 | |
David Alexander Kidd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11000 Sw Stratus St Ste 310, Beaverton, OR 97008 Phone: 503-297-3778 Fax: 503-297-7853 | |
Aura Theresa Bondoc De Olazo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2725 Sw Cedar Hills Blvd Ste 250, Beaverton, OR 97005 Phone: 503-413-4060 |